NPI | 1376597849 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE R WILLS Physical Therapist/Owner 321-676-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 5799) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2012-01-11 |